4 ACKNOWLEDGEMENT OF NOTICES (RECONOCIMIENTO DE AVISOS) As an applicant for and potential recipient of housing rehabilitation assistance from the City of Pasadena, I/we understand and agree to the following: (Initial) (Como solicitante y potencial recipiente de la Ciudad de Pasadena para asistencia para la rehabilitación de mi casa, yo/nosotros entendemos y estamos de acuerdo a lo siguiente: (Inicialé) I/we understand and agree that the City of Pasadena will verify all information contained in this application. (Yo/Nosotros entendemos y estamos de acuerdo a que la Ciudad de Pasadena verifique toda la información contenida en esta aplicación) I/we understand that completion of the application does not guarantee my/our eligibility for the program. (Yo/nosotros entendemos que el completar la aplicación no garantiza mi elegibilidad para el programa) I/we understand that there may be times that the City of Pasadena find it necessary to request additional information from me/us. (Yo/nosotros entendemos que puede haber ocasiones en que la Ciudad de Pasadena encuentre necesario solicitar información adicional de mí/nosotros.) Contractor House Access: I/we acknowledge that and agree that if approved for assistance, contractors shall have access to my/our home and property for preparation of bids so that they may obtain necessary information about my/our home and the needed repairs. (Acceso de Casa al Contratista: Yo/nosotros reconocemos y aceptamos que si la asistencia es aprobada, contratistas tendrán acceso a mi/nuestra casa y propiedad para la preparación de ofertas para que ellos pueden obtener la información necesaria acerca de mi/nuestra casa y las reparaciones necesarias.) House Evaluation: I/we understand that the City of Pasadena will conduct a feasibility assessment of my/our property for the purpose of determining whether my/our home is eligible to receive assistance. I/we understand that the City of Pasadena has maximum limits that can be spent to repair my/our home. If my/our home cannot be repaired within the maximum dollar limit allowance, I/we understand that I/we will not be eligible for the Housing Rehabilitation Program. (Evaluación de la casa: Yo/nosotros entendemos que la Ciudad de Pasadena llevará a cabo una evaluación de viabilidad de mi/nuestra propiedad a efectos de determinar si es elegible para recibir asistencia. Yo/nosotros entendemos que la Ciudad de Pasadena tiene límites máximos que se pueden gastar para reparar mi/nuestra casa. Si no se puede reparar mi/nuestra casa dentro de la asignación de límite máximo, yo/nosotros entendemos que yo/nosotros no seremos elegibles para el programa de rehabilitación de vivienda.) Photo Release: As owner(s) of the property listed in this application, I/we understand and agree that if approved for assistance, photographs will be taken of my/our home before, during and after repair assistance is provided, and that such photos may be used in reports published by the City of Pasadena. (Publicación de foto: Como propietario(s) de la propiedad en esta aplicación, nosotros entendemos y aceptamos que si la asistencia es aprobada, se tomarán fotografías de mi/nuestra casa antes, durante y después de que se preste asistencia para las reparaciones, y que estas fotos pueden utilizarse en informes publicados por la Ciudad de Pasadena.) Right to Financial Privacy Act: This is to notify you, as required by the Right to Financial Privacy Act of 1978, that the Department of Housing and Urban Development has a right of access to financial records held by any financial institution in connection with the consideration or administration of the rehabilitation loan or grant for which you have applied. Financial records involving your transactions will be available to the Department of Housing and Urban Development without further notice or authorization but will not be disclosed or released to another Governmental Agency or Department without our consent except as required or permitted by law. (Derecho a la Ley de Privacidad Financiera: Esto es para notificarle, como exige el derecho a la Ley de Privacidad Financiera de 1978, que el Departamento de Vivienda y Desarrollo Urbano tiene el derecho de acceso a los registros financieros de cualquier institución financiera en relación con la consideración o la administración de el préstamo o subsidio para la rehabilitación que haya aplicado. Registros financieros de sus transacciones están disponible para el Departamento de Vivienda y Desarrollo Urbano sin previo aviso o autorización, pero no serán divulgados o lanzados a otra agencia gubernamental o departamento sin nuestro consentimiento, excepto según lo exija o permita la ley.) Important: Section 1001 of Title 18 of the U.S. Code makes it a criminal offense to make willful false statements or misrepresentation to any Department or Agency of the United States Government as to any matter within its jurisdiction. Importante: Sección 1001 del Título 18 del Código de los Estados Unidos dice que es una ofensa criminal hacer declaraciones falsas intencionales a cualquier departamento o agencia del Gobierno de los Estados Unidos sobre cualquier asunto dentro de su jurisdicción. I/we certify that all of the information contained and submitted in support of this application is true and complete to the best of my/our knowledge and belief. Yo/nosotros certificamos que toda la información contenida y presentada en esta solicitud es verdadera y completa a lo mejor de mi/nuestro conocimiento y creencia. Applicant Signature (Firma del Solicitante) Co Applicant Signature (Firma del Co Solicitante)

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